Information Collection

Martin Luther King Jr. Day of Service Application Instructions

IC 198621 under ICR 201107-3045-005 · OMB 3045-0110.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0110 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Martin Luther King Jr. Day of Service Application Instructions Form and Instruction
1 MLK Day of Service Application Instructions OMB 12 MLK Application Instructions Final 7.25.11.doc www.nationalservice.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Martin Luther King Jr. Day of Service Application Instructions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	MLK Day of Service Application Instructions	OMB 12 MLK Application Instructions Final 7.25.11.doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.